HCPCS J3101

Injection, tenecteplase, 1 mg

Current code48 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J3101 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$142 – $96819 plans$219 – $226$547 – $564
Cascade Valley HospitalArlington$153 – $13,49211 plans$6,042 – $11,993$7,552 – $14,991
Deaconess Medical CenterSpokaneFile dated 2026-08-27$197 – $64316 plans$296 – $306$739 – $765
EvergreenHealth Medical CenterKirkland$153 – $45,39125 plans$39,046$48,808
EvergreenHealth MonroeMonroe$184 – $45,39116 plans$39,046$48,808
Harborview Medical CenterSeattleFile dated 2026-04-01$166 – $3744 plans——
Highline Medical CenterBurienFile dated 2026-02-28$153 – $34,91717 plans$7,108 – $11,847$23,278 – $38,797
Island HospitalAnacortes$187 – $3626 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$153 – $61711 plans$16,935$24,193
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$165 – $4138 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$230 – $14,8739 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$189 – $66520 plans$218 – $224$546 – $560
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$189 – $66520 plans$219 – $226$547 – $564
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$189 – $66520 plans$218 – $227$545 – $567
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$197 – $64316 plans$296 – $306$740 – $766
Olympic Medical CenterPort AngelesFile dated 2026-06-24$11,471 – $20,5206 plans$16,416$20,520
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$146 – $95415 plans$2,597 – $6,565$5,194 – $13,131
PeaceHealth Peace Island Medical CenterFriday Harbor—$16,310 – $16,701$25,092 – $25,694
PeaceHealth Southwest Medical CenteVancouver$74.79 – $6076 plans$1,486 – $16,701$2,286 – $25,694
PeaceHealth St John Medical CenterLongview$74.79 – $3254 plans$5,245 – $16,701$8,069 – $25,694
PeaceHealth St Joseph Medical CenterBellingham$187 – $3242 plans$8,174 – $16,701$12,575 – $25,694
PeaceHealth United General Medical CenterSedro Woolley—$4,360 – $16,701$6,707 – $25,694
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$119 – $65514 plans$21,728$31,040
Providence Centralia HospitalCentraliaFile dated 2026-04-01$157 – $1,04213 plans$22,966$44,166
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$153 – $60811 plans$21,728$31,040
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$16,057 – $21,728$22,939 – $31,040
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$130 – $45812 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$16,057 – $21,728$22,939 – $31,040
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$157 – $97410 plans$23,379$33,398
Providence St Peter HospitalOlympiaFile dated 2026-04-01$153 – $64514 plans$22,966$44,166
Skagit Valley HospitalMount Vernon$153 – $14,24210 plans$6,042 – $11,993$7,552 – $14,991
St Anthony HospitalGig HarborFile dated 2026-02-28$153 – $29,09818 plans$7,080 – $11,800$23,278 – $38,797
St Clare HospitalLakewoodFile dated 2026-02-28$153 – $29,09818 plans$6,710 – $11,183$23,278 – $38,797
St Elizabeth HospitalEnumclawFile dated 2026-02-28$122 – $34,91717 plans$8,226 – $13,709$23,278 – $38,797
St Francis Community HospitalFederal WayFile dated 2026-02-28$153 – $29,09818 plans$7,305 – $12,175$23,278 – $38,797
St Joseph Medical CenterTacomaFile dated 2026-02-28$153 – $29,09818 plans$7,710 – $12,849$23,278 – $38,797
St Michael Medical CenterSilverdaleFile dated 2026-02-28$157 – $34,91718 plans$10,274 – $17,123$23,278 – $38,797
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$168 – $50214 plans$11,832$24,649
Swedish IssaquahIssaquahFile dated 2026-04-01$157 – $43813 plans$11,832 – $18,810$24,649 – $39,187
Swedish Medical CenterSeattleFile dated 2026-04-01$157 – $70520 plans$11,832 – $18,810$24,649 – $39,187
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$157 – $70514 plans$11,832 – $18,810$24,649 – $39,187
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$189 – $66520 plans$219 – $222$547 – $556
Three Rivers HospitalBrewster—$13,679$13,679
University of Washington Medical CtrSeattleFile dated 2026-04-01$166 – $54013 plans——
Virginia Mason Medical CenterSeattle$158 – $57610 plans$290$570
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4981 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$263 – $59519 plans$214 – $278$536 – $694

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$231 (APC 9002)
Surgery center payment (national)
$231